Background: Increased post-operative tonsillectomy haemorrhage rates have been observed following 'hot' tonsillectomy techniques, compared with 'cold steel' dissection. Post-tonsillectomy haemorrhage rates and the degree of blood loss during guillotine tonsillectomy have not been reported in the recent literature.
Methods: This retrospective case note review assessed the degree of blood loss during guillotine tonsillectomy, as measured by the number of tonsil swabs used, and the post-tonsillectomy haemorrhage rate.
Results: In a group of 168 patients, no tonsil swabs were used in 13.1 per cent of cases, and less than two tonsil swabs were used in 41.1 per cent of cases.
Conclusion: Guillotine tonsillectomy, when performed by the method described in this article, resulted in minimal intra-operative blood loss in 54 per cent of cases, and appeared to have comparable post-tonsillectomy haemorrhage rates to cold steel dissection techniques.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1017/S002221510900485X | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Analysis of Different Techniques of Tonsillectomy: An Insight.
Indian J Otolaryngol Head Neck Surg
December 2022
Max Hospital, Dehradun, India.
Tonsillectomy is one of the most commonly performed surgical procedure in otolaryngology especially in children. This is an age old procedure which has seen continuous changes in the surgical technique from guillotine method to snare technique to coblation tonsillectomy, and is still evolving day by day. But there are no consensus as to which technique is the best or most appropriate for tonsillectomy.
View Article and Find Full Text PDF[Hypoxaemia during non-intubated adenotonsillectomy; more common in sitting or supine position?].
Ned Tijdschr Geneeskd
November 2019
Isala, Afd. Keel-, Neus- en Oorheelkunde, Zwolle.
Objective: To investigate the incidence of hypoxaemia, bradycardia and post-operative bleeding in non-intubated Sluder method adenotonsillectomy patients in sitting versus supine position.
Design: Explorative study.
Method: A retrospective database was drawn up with data from all patients on whom a Sluder method non-intubated adenotonsillectomy was performed in a Dutch district general hospital between 01 January 2012 and 01 May 2018.
Guillotine vs. classic dissection adenotonsillectomy: What's the ideal technique for children in Tanzania?
Int J Pediatr Otorhinolaryngol
September 2017
Department of Otorhinolaryngology, Radboudumc, Nijmegen, The Netherlands. Electronic address:
Objectives: Adenotonsillectomy (ATE) is one of the most performed surgeries in children. Extensive research on which operation technique is the best in terms of minimal pain and complications, operative time and duration of hospital stay is being done mostly in highly resourced developing countries. In developing countries a need for cost effective and time saving operation techniques is essential due to the low-resource setting.
View Article and Find Full Text PDFPostoperative pain during the first week after adenoidectomy and guillotine adenotonsillectomy in children.
Paediatr Anaesth
May 2014
Department of Anesthesia, Gelderse Vallei Hospital, Ede, The Netherlands.
Background: Adenoidectomy (AD) and adenotonsillectomy (ATE) are frequently occurring and often painful interventions in children. In literature, it is very prevalent that postoperative pain in children following ATE is hard to control. The purpose of this study was to evaluate the prevalence and severity of postoperative pain in children undergoing AD and ATE in the ambulatory setting.
View Article and Find Full Text PDFFactors influencing the indication for tonsillectomy: a historical overview and current concepts.
ORL J Otorhinolaryngol Relat Spec
March 2014
Linköping University, Linköping, Sweden.
Tonsil surgery has been performed for more than 3,000 years. During the 19th century when anesthesia became available, techniques were refined and the number of procedures performed increased. Repeated throat infections often causing big tonsils was the reason why parents asked for the procedure.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!